In a landmark case of bariatric intervention, surgeons at AIIMS Delhi have successfully conducted a risky weight loss surgery on a 31-year-old Uttar Pradesh man who was 254 kilograms. The patient was unable to lose weight despite decades of rigorous dieting and exercise. He was now super-super obese, with a BMI of 75.5.
The pivotal moment occurred when a skilled group of physicians at AIIMS, led by Dr. Manjunath Maruti Pol, chose to perform a complex operation. After overcoming many pre- and post-operative risks, the patient is now on the road to recovery. This case highlights how intervention led by experts is still crucial when normal weight reduction fails.
A Life-Long Battle With Weight
The patient had battled obesity since childhood. He once lost 90 kilograms. However, in the last decade, he regained all that weight. Even after following a disciplined lifestyle for three years, he was unable to manage his weight. This was now impacting his personal well-being as well as professional performance.
When conventional weight reduction measures were ruled out, AIIMS physicians decided to undergo a one-anastomosis gastric bypass. The procedure takes the stomach size to just 60–80 ml. It also diverts a portion of the digestive system to stimulate hormonal alterations. Such alterations improve metabolic states such as high blood pressure, diabetes, and cholesterol.
High-Risk Procedure With Intense Preparation
Doctors observed that the surgery was not standard. His condition had several risks. Preparation involved the team stabilizing his blood pressure and blood sugar levels. Obstructive sleep apnoea was also addressed with the help of a C-PAP machine. Physio and a supervised weight loss program assisted him in developing physical strength prior to surgery.
The patient spent some time in the intensive care unit after surgery. He was closely watched to avoid complications like intestinal leakage or blood clots. The doctors also kept an eye out for nutritional deficiencies and respiratory problems. The team of professionals was keenly aware all through.
New Chapter After Discharge
He was released from the hospital on May 30. Physicians highlighted that these procedures are life-altering but need to be carried out with professional care. They emphasized that extreme obesity cannot always be addressed by diet and exercise. In such instances, professional-guided bariatric surgery becomes the last and optimal course of action.
This successful surgery at AIIMS is a testament to contemporary bariatric science, teamwork, and what is possible when conventional efforts fail.